| 引用本文:漆双进，杨硕，黄宇，伍先明，莫倩.针灸治疗慢性尿潴留临床选穴用经组方的特点与规律[J].世界中医药,2021,(12):. |
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| 针灸治疗慢性尿潴留临床选穴用经组方的特点与规律 |
| Characteristics and Regularity of Acupoint Selection in Clinical Treatment of Chronic Urinary Retention with Acupuncture and Moxibustion |
| 投稿时间：2020-05-11 |
| DOI：10.3969/j.issn.1673-7202.2021.12.001 |
| 中文关键词: 慢性尿潴留 针灸 选穴特点 经脉 膀胱 处方规律 文献研究 综述 |
| English Keywords:Chronic urinary retention Acupuncture and moxibustions Characteristics of acupoint selection Meridian Bladder Regularity of prescription Literature analysis Summary |
| 基金项目:国家自然科学基金项目（81660822）；第四批全国中医（临床、基础）优秀人才研修项目（1007-00120120201） |
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| 中文摘要: |
| 目的：分析针灸治疗慢性尿潴留临床选穴用经组方的特点与规律。方法：检索中英文数据库(2009—2019年)中针灸治疗慢性尿潴留的文献，通过建立针灸处方数据库，运用数据挖掘技术，总结分析针灸治疗慢性尿潴留的辨证辨经特点、治疗处方用穴规律、治疗方式特点等。结果：共纳入36篇文献，通过统计分析得知针灸治疗本病：1）针灸处方中常用穴位是三阴交（8.9%）、中极（8.9%）、关元（8.9%）、足三里（7.0%）、气海（5.8%）；治疗本病常以辨病为主，所辨经脉涉及足太阳膀胱经、任脉、足太阴脾经、足阳明胃经；穴位分布主要以腰骶部、下腹部为主；特定穴属性从高到低依次为：募穴（18.3%），五输穴（15.1%）、背俞穴（10.1%）；治疗手段常用针刺治疗。结论：针灸治疗慢性尿潴留，以辨病取穴为主要基础，主要涉及膀胱经、与任脉、足太阴脾经密切相关；采取近部选穴加远部选穴方法，以调节各脏腑功能，使小便得以自通。 |
| English Summary: |
| To summarize and analyze characteristics and laws of acupoint selection in treatment of chronic urinary retention with acupuncture and moxibustion.Methods:Characteristics of acupuncture and moxibustion for treatment of chronic urinary retention in terms of syndrome differentiation and meridian differentiation，rules of acupuncture and moxibustion for treatment prescription，and characteristics of treatment methods were summarized and analyzed by establishment of acupuncture and moxibustion prescription database and application of data mining technology after electronically retrieving documents of acupuncture and moxibustion for treatment of chronic urinary retention from Chinese and English databases(2009—2019).Results:A total of 36 papers were included.Through statistical analysis，it was found that acupuncture and moxibustion are used to treat this disease:1)Common acupoints in acupuncture prescription were Sanyinjiao(SP6，8.9%)，Zhongji(CV3，8.9%)，Guanyuan(CV4，8.9%)，Zusanli(ST36，7.0%)，Qihai(CV6，5.8%).2)Treatment of this disease usually focused on disease differentiation.Meridians identified involve bladder meridian of foot Taiyang，ren meridian，spleen meridian of foot Taiyin and stomach meridian of foot Yangming.3)Selected acupoints was mainly in lumbosacral region and lower abdomen.4)Attributes of specific points from high to low were:front-mu points(18.3%)，five-shu points(15.1%)，back-shu points(10.1%);(5)Acupuncture was commonly used in treatment.Conclusion:Acupuncture and moxibustion treatment of chronic urinary retention is mainly based on disease differentiation and acupoint selection，mainly involving bladder meridian，ren meridian and spleen meridian of foot Taiyin.Method of selecting acupoints at near part and selecting acupoints at far part is adopted to regulate functions of all viscera and enable urination to pass by itself. |
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